Provider Demographics
NPI:1659456788
Name:MUZZI DENTAL PC
Entity Type:Organization
Organization Name:MUZZI DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:M
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:LEDGER
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:412-372-2451
Mailing Address - Street 1:2735 MOSSIDE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-372-2451
Mailing Address - Fax:412-372-4214
Practice Address - Street 1:2735 MOSSIDE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-372-2451
Practice Address - Fax:412-372-4214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1415764OtherUNITED CONCORDIA